Controlling motherhood: observations on the culture of the La Leche League*

Les arguments de cet article sont avant tout méthodologiques: que les caractéristiques distinctives d'un groupe peuvent être identifiees grâce à une analyse de ses activités de controle social; et qu'un examen des comportements de contrôle d'un groupe devrait commencer par l'étude de sa culture avec une attention particulière pour sa problématique centrale. Des éléments à l'intérieur de la culture d'un groupe contiennent des sources importantes de contrôle du comportement et contribuent à la nature de l'ordre social à l'intérieur de ce groupe. C'est dans la culture que des sanctions normales et des limitations de ces sanctions sont soit déduites, soit explicitement articulées. Le mode d'analyse est illustre par l'étude de la culture de la Ligue La Lèche, une organisation d'auto-assistance pour les femmes qui souhaitent alaiter leurs bébés au sein. L'article conclut que le succès de la ligue à encourager ses membres à s'adapter à un style de vie substantiellement plus coûteux peut être attribuer à quelques caractéristiques importantes du contenu de son problème central et son articultation avec d'autres aspects de la culture. Les données analysées proviennent des publications de la Ligue La Lèche, d'observations de participants aux réunions de la Ligue et d'interviews avec des membres de la Ligue. Le site de recherche est Ottawa, en Ontario. The arguments of this paper are primarily methodological: that distinguishing characteristics of a group can be identified through an analysis of its social control activities; and that an examination of a group's control behaviours should begin with a study of its culture, with special attention to its central problematic. Elements within the culture of a group contain important sources of behavioural control and contribute to the nature of the social order within that group. It is within the culture that normal sanctions, and limitations upon sanctions are either inferred or are explicitly articulated. The mode of analysis is illustrated through the study of the culture of the La Leche League, a self-help organization for women who want to breastfeed their babies. The paper concludes that the League's success in encouraging its members to adapt a lifestyle with substantial costs can be attributed to some important characteristics of the content of its central problem and its articulation with other aspects of the culture. The data analyzed come from La Leche League publications; participant observation at League meetings; and interviews with League members. The research site is Ottawa, Ontario.     

Beyond legal coverage: Assessing the performance of social health protection

A frequently used indicator to measure social health protection performance is the extent of population coverage as stipulated in national legislation. However, this indicator does not provide meaningful information on performance in terms of effective access to benefits that are available, affordable and of acceptable quality, not least for the poor and workers in informal economies. This article proposes a new approach to measuring performance by applying a set of relevant indicators in an analytical framework for assessing the performance of social health protection. The approach allows policy‐makers to conclude from comparisons among groups of countries facing similar challenges. Preliminary results include comprehensive information on deficits that need to be addressed when striving for effective universal coverage. With further refinement, the suggested approach could become a standard assessment tool for measuring performance.     

A new family of multivariate heavy-tailed distributions with variable marginal amounts of tailweight: application to robust clustering

We propose a family of multivariate heavy-tailed distributions that allow variable marginal amounts of tailweight. The originality comes from introducing multidimensional instead of univariate scale variables for the mixture of scaled Gaussian family of distributions. In contrast to most existing approaches, the derived distributions can account for a variety of shapes and have a simple tractable form with a closed-form probability density function whatever the dimension. We examine a number of properties of these distributions and illustrate them in the particular case of Pearson type VII and t tails. For these latter cases, we provide maximum likelihood estimation of the parameters and illustrate their modelling flexibility on simulated and real data clustering examples.     

母乳喂养也不安全

【正】母乳一直被视为天然的完美食品,倘若我们给母乳贴上成分标签,上面大概会列出:脂肪(4%),维生素A、C、E、K,糖分,主要的矿物质,蛋白质,酶类和免疫抗体。母乳中几乎囊括了专家建议婴儿成长所需的所有成分,还有一些神秘成分可以帮助孩子在一生中抵御从糖尿病到癌症的各种疾病。     

Examining the Effects of Feedback Accuracy and Timing on Skill Acquisition

ABSTRACT

Feedback involves providing information about past performance and indicating how to improve future performance. Although the literature contains numerous examples of feedback as an effective method for improving performance across a range of organizational settings, much remains unknown about the specifics of how feedback acts to change behavior. This study evaluated the combined effects of feedback accuracy (100%, 80%, 20%) and timing (feedback following each trial or after a block of 25 trials) on skill acquisition in undergraduate students when presented with a computerized match-to-sample task that required participants to learn the names of shapes. Results reveal that feedback accuracy had a significantly greater effect on performance than the timing of the feedback.     

Evaluation: Clinical results and research methodology

The favorable results of two major research reports-Progress on Family Problems by Beck and Jones and a series of studies ofDepressed Patients by Weissmanet al.—are reviewed for the purpose of comparing the methodologies of these studies with that of other well-known research reporting casework treatment to be noneffective. A number of the latter studies are critically examined for their use of social norms rather than client-oriented indicators of improvement, inadequate measuring devices, failure to select appropriate areas of measurement, inappropriate generalization from narrow study populations, overconcentration on delinquents, predelinquents, and multiproblem families, inadequate attention to motivation, inappropriate hypotheses, and serious errors in statistical procedures and in the selection of control groups.     

Group Therapy with Couples in Conflict

This article describes a psychoanalytically based time limited model of couples group therapy, using live clinical material to illustrate the process and flow of therapy. Because of the pre-therapy clear agreement regarding number of sessions, it is important that the contract be adhered to by all parties, underscoring issues of reliability regarding commitment and fostering completion. Critical themes such as dependence and independence rapidly become focal issues in treatment. Mirroring, reflecting, confronting, supporting and interpreting are among the treatment techniques utilized. A heterosexual co-therapy team is recommended as the optimal therapeutic pair for group leadership.